Excess Vitamin D

A 50-year-old woman comes to the emergency department because of severe, colicky left-sided abdominal pain. Urinalysis shows microscopic hematuria. She is given intravenous fluids and ketorolac. Her temperature is 37.2°C (99°F), pulse is 70/minute, respiratory rate is 18/minute, and blood pressure is 160/90 mm Hg. Her BMI is 23 kg/m². Her medical history is significant for celiac disease that was diagnosed 20 years ago. She avoids gluten and takes vitamins to "stay healthy". Which of the following is most likely present in this patient?